Background: Water weight-loss walking training is an emerging physical therapy technique, which provides new ideas for improving the motor function of stroke patients and improving the quality of life of patients. How...Background: Water weight-loss walking training is an emerging physical therapy technique, which provides new ideas for improving the motor function of stroke patients and improving the quality of life of patients. However, the rehabilitation effect of water weight-loss training in stroke patients is currently unclear. Objective: To analyze the effect of water weight loss walking training in stroke patients. Methods: A total of 180 stroke patients admitted to our hospital from January 2019 to December 2021 were selected and randomly divided into two groups. The control group received routine walking training, and the research group performed weight loss walking training in water on this basis. The lower limb motor function, muscle tone grade, daily living ability, gait and balance ability were compared between the two groups before and after treatment. Results: Compared with the control group, the FMA-LE score (Fugl-Meyer motor assessment of Lower Extremity), MBI score (Modified Barthel Index) and BBS score (berg balance scale) of the study group were higher after treatment, and the muscle tone was lower (P Conclusion: Water weight loss walking training can enhance patients’ muscle tension, correct patients’ abnormal gait, improve patients’ balance and walking ability, and contribute to patients’ motor function recovery and self-care ability improvement.展开更多
Objective: to analyze the clinical value of biofeedback training in elderly stroke patients to promote the recovery of their lower extremity motor dysfunction. Methods: from January 2021 to January 2022, 76 cases of s...Objective: to analyze the clinical value of biofeedback training in elderly stroke patients to promote the recovery of their lower extremity motor dysfunction. Methods: from January 2021 to January 2022, 76 cases of senile stroke were diagnosed in our hospital. They were divided into two groups: control group and observation group. There were 38 cases in each group. The control group was treated with conventional drugs and rehabilitation training. The observation group further increased biofeedback training Lower limb motor dysfunction and daily living ability were evaluated and compared. Results: the difference of Fugl-Meyer scale score between the two groups before treatment was small (P>0.05), and the score of Fugl-Meyer scale in the observation group was higher than that in the control group after treatment (P<0.05);The difference of Barthel index between the two groups before treatment was small (P>0.05), and the Barthel index in the observation group was higher than that in the control group after treatment (P<0.05);The difference of NIHSS scores between the two groups before treatment was small (P>0.05), and the NIHSS scores in the observation group were lower than those in the control group after treatment (P<0.05). Conclusion: the combined use of biofeedback training for elderly stroke patients can effectively promote the rehabilitation of patients, improve their neurological function, enhance the motor function of lower limbs and the ability of self-care in life.展开更多
目的 探讨Lokomat机器人辅助步行训练对偏瘫儿童下肢运动功能的影响。方法 2023年10月至2025年1月,北京博爱医院收治的偏瘫儿童52例,随机分为对照组(n=26)和观察组(n=26)。两组均接受常规康复治疗,观察组增加Lokomat机器人辅助步行训练,...目的 探讨Lokomat机器人辅助步行训练对偏瘫儿童下肢运动功能的影响。方法 2023年10月至2025年1月,北京博爱医院收治的偏瘫儿童52例,随机分为对照组(n=26)和观察组(n=26)。两组均接受常规康复治疗,观察组增加Lokomat机器人辅助步行训练,共4周。干预前后,比较10米步行测试的自选步行速度(SWS)和最大步行速度(MWS)、6分钟步行距离(6MWD)、生理消耗指数(PCI)以及步态线长度比、单支撑线比、站立相比和步长比。结果 干预后,两组SWS、MWS和6MWD均明显改善(|Z|> 2.910, P <0.01),观察组优于对照组(|Z|> 2.069, P <0.05);两组PCI均显著降低(|Z|> 4.458, P <0.001),观察组优于对照组(Z=-2.435, P <0.05);两组步态线长度比、单支撑线比和站立相比均增加(Z=3.398,|t|> 2.211, P <0.05),且观察组优于对照组(Z=2.802,|t|> 2.107, P <0.05)。结论 Lokomat机器人辅助步行训练可以提高偏瘫儿童的步行速度和步行耐力,降低能量消耗,提高步行效率,改善步态的对称性。展开更多
目的:研究表明,重复经颅磁刺激和经颅直流电刺激对改善脑瘫患儿粗大运动功能具有积极作用。采用网状Meta分析方法评价重复经颅磁刺激和经颅直流电刺激对脑瘫患儿下肢运动功能及步态改善的临床疗效。方法:检索中国知网、万方、维普、Sino...目的:研究表明,重复经颅磁刺激和经颅直流电刺激对改善脑瘫患儿粗大运动功能具有积极作用。采用网状Meta分析方法评价重复经颅磁刺激和经颅直流电刺激对脑瘫患儿下肢运动功能及步态改善的临床疗效。方法:检索中国知网、万方、维普、SinoMed、PubMed、Web of Science、Medline数据库,搜索关于重复经颅磁刺激与经颅直流电刺激改善脑瘫患儿下肢运动功能及步态的随机对照试验,检索时限均为数据库建库至2024-10-05。筛选文献、提取资料并评价纳入研究的偏倚风险,采用Stata 15.0软件进行网状Meta分析,使用GRADE证据分级系统进行质量评价。结果:最终纳入19篇研究,涉及常规治疗、高频重复经颅磁刺激、低频重复经颅磁刺激、阳极经颅直流电刺激4种治疗方案。网状Meta分析结果显示,与常规治疗相比,低频重复经颅磁刺激改善脑瘫患儿粗大运动功能方面的疗效最佳[MD=9.48,95%CI(6.61,12.34),P<0.05],在缓解痉挛方面,高频重复经颅磁刺激的疗效最佳[MD=-0.63,95%CI(-1.72,0.45),P<0.05],经颅直流电刺激改善脑瘫患儿踝关节活动度和步速方面的疗效最佳[MD=2.27,95%CI(1.37,3.17),P<0.05;MD=0.11,95%CI(0.05,0.17),P<0.05]。结论:现有临床证据表明,对于脑瘫患儿,在改善下肢粗大运动功能方面,低频重复经颅磁刺激展现出最佳疗效;对于降低肌痉挛程度,高频重复经颅磁刺激的效果更为显著;在步态改善方面,经颅直流电刺激则表现出明显优势。展开更多
文摘Background: Water weight-loss walking training is an emerging physical therapy technique, which provides new ideas for improving the motor function of stroke patients and improving the quality of life of patients. However, the rehabilitation effect of water weight-loss training in stroke patients is currently unclear. Objective: To analyze the effect of water weight loss walking training in stroke patients. Methods: A total of 180 stroke patients admitted to our hospital from January 2019 to December 2021 were selected and randomly divided into two groups. The control group received routine walking training, and the research group performed weight loss walking training in water on this basis. The lower limb motor function, muscle tone grade, daily living ability, gait and balance ability were compared between the two groups before and after treatment. Results: Compared with the control group, the FMA-LE score (Fugl-Meyer motor assessment of Lower Extremity), MBI score (Modified Barthel Index) and BBS score (berg balance scale) of the study group were higher after treatment, and the muscle tone was lower (P Conclusion: Water weight loss walking training can enhance patients’ muscle tension, correct patients’ abnormal gait, improve patients’ balance and walking ability, and contribute to patients’ motor function recovery and self-care ability improvement.
文摘Objective: to analyze the clinical value of biofeedback training in elderly stroke patients to promote the recovery of their lower extremity motor dysfunction. Methods: from January 2021 to January 2022, 76 cases of senile stroke were diagnosed in our hospital. They were divided into two groups: control group and observation group. There were 38 cases in each group. The control group was treated with conventional drugs and rehabilitation training. The observation group further increased biofeedback training Lower limb motor dysfunction and daily living ability were evaluated and compared. Results: the difference of Fugl-Meyer scale score between the two groups before treatment was small (P>0.05), and the score of Fugl-Meyer scale in the observation group was higher than that in the control group after treatment (P<0.05);The difference of Barthel index between the two groups before treatment was small (P>0.05), and the Barthel index in the observation group was higher than that in the control group after treatment (P<0.05);The difference of NIHSS scores between the two groups before treatment was small (P>0.05), and the NIHSS scores in the observation group were lower than those in the control group after treatment (P<0.05). Conclusion: the combined use of biofeedback training for elderly stroke patients can effectively promote the rehabilitation of patients, improve their neurological function, enhance the motor function of lower limbs and the ability of self-care in life.
文摘目的 探讨Lokomat机器人辅助步行训练对偏瘫儿童下肢运动功能的影响。方法 2023年10月至2025年1月,北京博爱医院收治的偏瘫儿童52例,随机分为对照组(n=26)和观察组(n=26)。两组均接受常规康复治疗,观察组增加Lokomat机器人辅助步行训练,共4周。干预前后,比较10米步行测试的自选步行速度(SWS)和最大步行速度(MWS)、6分钟步行距离(6MWD)、生理消耗指数(PCI)以及步态线长度比、单支撑线比、站立相比和步长比。结果 干预后,两组SWS、MWS和6MWD均明显改善(|Z|> 2.910, P <0.01),观察组优于对照组(|Z|> 2.069, P <0.05);两组PCI均显著降低(|Z|> 4.458, P <0.001),观察组优于对照组(Z=-2.435, P <0.05);两组步态线长度比、单支撑线比和站立相比均增加(Z=3.398,|t|> 2.211, P <0.05),且观察组优于对照组(Z=2.802,|t|> 2.107, P <0.05)。结论 Lokomat机器人辅助步行训练可以提高偏瘫儿童的步行速度和步行耐力,降低能量消耗,提高步行效率,改善步态的对称性。
文摘目的:研究表明,重复经颅磁刺激和经颅直流电刺激对改善脑瘫患儿粗大运动功能具有积极作用。采用网状Meta分析方法评价重复经颅磁刺激和经颅直流电刺激对脑瘫患儿下肢运动功能及步态改善的临床疗效。方法:检索中国知网、万方、维普、SinoMed、PubMed、Web of Science、Medline数据库,搜索关于重复经颅磁刺激与经颅直流电刺激改善脑瘫患儿下肢运动功能及步态的随机对照试验,检索时限均为数据库建库至2024-10-05。筛选文献、提取资料并评价纳入研究的偏倚风险,采用Stata 15.0软件进行网状Meta分析,使用GRADE证据分级系统进行质量评价。结果:最终纳入19篇研究,涉及常规治疗、高频重复经颅磁刺激、低频重复经颅磁刺激、阳极经颅直流电刺激4种治疗方案。网状Meta分析结果显示,与常规治疗相比,低频重复经颅磁刺激改善脑瘫患儿粗大运动功能方面的疗效最佳[MD=9.48,95%CI(6.61,12.34),P<0.05],在缓解痉挛方面,高频重复经颅磁刺激的疗效最佳[MD=-0.63,95%CI(-1.72,0.45),P<0.05],经颅直流电刺激改善脑瘫患儿踝关节活动度和步速方面的疗效最佳[MD=2.27,95%CI(1.37,3.17),P<0.05;MD=0.11,95%CI(0.05,0.17),P<0.05]。结论:现有临床证据表明,对于脑瘫患儿,在改善下肢粗大运动功能方面,低频重复经颅磁刺激展现出最佳疗效;对于降低肌痉挛程度,高频重复经颅磁刺激的效果更为显著;在步态改善方面,经颅直流电刺激则表现出明显优势。
